Objective:To understand the current situation of knowledge, attitude and practice about target temperature management (TTM) in patients with severe traumatic brain injury (STBI) among intensive care unit ICU nurses and analyze the influencing factors, so as to provide a reference for conducting ICU nurses′ TTM training for patients with STBI.Methods:Applying the method of cross-sectional study, from November to December 2022, a stratified whole-group sampling method was used, stratified by first-, second-, and third-level hospitals, and a self-designed questionnaire on the current status of ICU nurses′TTM for patients with STBI was used to investigate the current status of knowledge, attitude, and practice of neurosurgical ICU, emergency ICU, and comprehensive ICU nurses in 22 second- and third-level hospitals in 11 cities in Gansu Province, and multiple linear regression analysis was used to analyze the factors influencing ICU nurses′ knowledge, attitude, and practice scores.Results:A total of 543 valid questionnaires were returned, and the scores of ICU nurses on the TTM total score, knowledge, attitude and practice dimensions of STBI patients were (76.75 ± 10.42), (7.38 ± 2.74), (39.57 ± 4.87), (29.80 ± 7.18) points respectively. The results of multiple linear regression analysis showed that the factor influencing ICU nurses′ scores on the TTM knowledge dimension for STBI patients was having attended TTM-related training ( t = 2.16, P<0.05); the factors influencing ICU nurses′ scores on the TTM attitude dimension for STBI patients were college, bachelor′s degree and the position of nurse practitioner ( t = 2.65, 2.91, 2.14, all P<0.05); and the factors influencing ICU nurses′ scores on the TTM practice dimension for STBI patients were the age group of 36 to 45 years old, the department having TTM-related criteria and having knowledge of TTM-related guidelines ( t = -2.46, 2.64, 3.85, all P<0.05). Conclusions:ICU nurses have a more positive attitude toward TTM in patients with STBI, but the level of knowledge and practice needs to be improved. Managers should conduct relevant training according to the current situation and influencing factors to improve ICU nurses′ knowledge and practice of TTM in patients with STBI, ensuring the effectiveness and safety of TTM.

Objective To conduct a scoping review of domestic and foreign triage competency tools for pre-screening triage nurses.Methods The databases of PubMed, Embase, CINAHL,Cochrane Library, Web of Science, CNKI,Wanfang, and SinoMed were searched for the studies on triage competency tools for pre-screening triage nurses.The retrieval time frame was from inception to October, 2022.Relevant studies were reviewed according to the framework of scoping review.Literature data were screened and extracted by two investigators independently.Results A total of 2766 relevant articles were retrieved and 11 articles were involved.Ten triage competency tools for pre-screening triage nurses were summarized, containing the indicators of knowledge, skills, communication, teamwork, etc.Conclusions The triage competency tools for pre-screening triage nurses in China were developed in recent years.The outcome indicators of some tools need to be clarified, and their application effects need further validation.Relevant tools should be verified and refined in the future, so as to provide references for assessing and evaluating the triage competency of pre-screening triage nurses, and to facilitate the continuous promotion of pre-screening triage nursing training.

目的 构建既符合我国现阶段国情又能体现急诊专科护士核心能力的培训方案.方法 以急诊专科护士核心能力为导向,通过文献研究、半结构式访谈初步拟定急诊专科护士培训方案草案,采用德尔菲法对30名专家进行2轮咨询,确立培训方案.结果 专家咨询问卷有效回收率分别为91％(30/33)、100％(30/30),专家权威系数为0.94,2轮函询的肯德尔和谐系数分别为0.223、0.356(P<0.001).最终确立的急诊专科护士培训方案包括培训目标、培训内容、培训管理、考核评价4个部分.其中,培训目标包括一级指标3项,二级指标25项;培训内容包括一级指标6项,二级指标44项;培训管理包括一级指标5项,二级指标10项;考核评价一级指标2项,二级指标7项.结论 以核心能力为导向构建的急诊专科护士培训方案具有科学性和可靠性,能为我国完善急诊专科护士培训提供参考依据.

经系统文献回顾和查阅国内外急诊专科护士培训与认证相关政策与文献,从急诊专科护士的概念、认证机构、认证条件、认证考核方式和延续认证方面对国内外急诊专科护士的资格认证和工作现状进行综述,以期为制定统一规范的急诊专科护士资格认证考核体系和使用管理方案提供参考.

目的 系统评价和整合护士对患者死亡认知与体验的质性研究.方法 计算机检索CNKI、万方、维普、CBM、PubMed、Embase、The Cochrane Library、Web of Science,收集关于护士对患者死亡认知、态度、感受和体验的质性研究,检索时限均为建库至2020年4月.采用澳大利亚JBI循证卫生保健中心(2017)质性研究质量评价标准进行评价,采用汇集性整合方法对结果进行整合.结果 共纳入14篇文献,提炼出115个研究结果,归纳相似研究结果形成8个新类别,得出4个整合结果,分别是:护士对患者死亡的感知;多种负性情绪应对策略;死亡经历对护士的影响;患者死亡时感知到的挑战和需求.结论 医疗护理管理者应重视护士对患者死亡的认知与体验,建立相关的支持教育系统提升其死亡应对能力,增强临终照护质量.

目的 系统评价我国新入职护士培训过程中的真实体验,为今后健全新入职护士培训体系提供参考.方法 计算机检索PubMed、Embase、Web of Science、中国知网、维普、万方、中国生物医学数据库中有关新入职护士培训体验的质性研究,检索时限均为建库至2020年5月13日.采用澳大利亚循证卫生保健中心质性研究质量评价标准评价纳入文献,采用汇集性整合方法进行Meta整合.结果 共纳入10项研究,提炼出49个研究结果,将相似结果归纳为6个新类别,形成2个整合结果:新入职护士在培训中获益的同时也感到身心疲惫;培训中新入职护士感知到的挑战与困难.结论 护理管理者应充分关注新入职护士培训过程中的感受和体验,据此不断完善培训体系,以实现培训效率的最大化,促进新入职护士的持续发展.

OBJECTIVE:To standardize the process of hospital prescription evaluation.METHODS:Referring to Drug Management Regulation,Prescription Management Regulation,Narcotic and Psychotropic Drugs Management Regulation,Hospital Prescription Evaluation Management Regulation(trial),and so on,standard operation regulation of prescription evaluation were formulated,and EpiData software was adopted to establish prescription evaluation software.Excel software was applied for results statistics and report forms edition.RESULTS CONCLUSIONS:The system contains 7 modules,such as prescription sampling method,effectiveness and category message module,common prescription evaluation module,narcotic drugs prescription evaluation module,psychotropic drugs prescription evaluation module,TCM decoction pieces prescription evaluation module,data processing module and outcomes output module.Guided by REC document,data input and statistical analysis are carried out to standardize prescription evaluation to reduce statistics omission and input error.The system is convenient in operation,rapid in statistics and accurate in results after trial application of prescription evaluation.